|Theo and his dad in the OR prep room|
The reason for the field trip this time is to remove Theo's tenckhoff (aka dialysis) catheter. His peritonitis is a recurrence of the same nasty bacteria that he had before. The recurrence could have been caused by two things: one, the bacteria may not have been adequately treated with the last round of antibiotics, or two, the bacteria may have adhered to the catheter. In the event that the bacteria has adhered to the catheter, another round of stronger antibiotics may not be effective to eradicate the infection. As of yesterday afternoon, we thought that we were going to try to treat the infection with 21 days of antibiotics. However, after involving the Infectious Disease team, the consensus from the nephrologists is to be aggressive in treating the infection. As a result, it was decided last night that Theo's catheter will be removed today. He will be treated with antibiotics through an IV for the next couple of days, and then a new catheter will be surgically placed again early next week. During this period of time, Theo will not be on any form of dialysis.
It has not been an easy week for Theo. Nick and I would rather not subject him to two more surgeries (after the new catheter is placed, Theo will have been through 5 surgeries in his first 8 weeks of life!), but we think that this may be the best of the two options for treatment. Now, we will pray that today's surgery will go well, that the antibiotics will kill this bacteria once and for all, that the new catheter can be successfully placed, and that Theo can handle another period of time off of dialysis. We will try to take it day by day!
Thanks for the prayers. One day, we will have good news. I'm confident of that! We hope you all have a wonderful weekend.